Organization Active NPI

Premier Medical Centre, LLC

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1356533954
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0000000697 Issued in TN
Legal business name
PREMIER MEDICAL CENTRE, LLC
Practice address
341 Wallace Rd
Suite B
Nashville, TN 37211-8000
Phone
(615) 690-4293
NPI assigned
Aug 16, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pearline M Butcher, D.O.NPI 1538260385
Title
Owner
Phone
(615) 690-4293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO0000000697 TN Primary

Addresses

Primary practice location

341 Wallace Rd
Suite B
Nashville, TN 37211-8000

Mailing address

341 Wallace Rd
Suite B
Nashville, TN 37211-8000
Phone (615) 690-4293

Other names 1

  • Pearline M. Butcher, D.O. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000776 TN Part B Supplier - Clinic/Group Practice 0042308736 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations

341 Wallace Rd
Ste B
Nashville, TN 37211
Phone (615) 690-4293

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1356533954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 WALLACE RD",
            "address_2": "SUITE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118000",
            "telephone_number": "615-690-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WALLACE RD",
            "address_2": "SUITE B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372118000",
            "telephone_number": "615-690-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BUTCHER",
        "authorized_official_first_name": "PEARLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-690-4293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000000697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearline M. Butcher, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.